Organization
NICOLE GERTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE J GERTH MFT (THERAPIST)
(949) 922-2476
Entity
Organization
Contact information
Practice address
30011 IVY GLENN DR, SUITE 221, LAGUNA NIGUEL, CA 92677-5014
(949) 922-2476
Mailing address
30011 IVY GLENN DR, SUITE 221, LAGUNA NIGUEL, CA 92677-5014
(949) 922-2476
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC 47189
CA
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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